Facility Evaluation Report

Licensing Program Analysts (LPA) Angel Ascencio arrived at the facility unannounced to conduct a required

annual visit at 11:04 a.m. This annual had a specific emphasis on infection control practices and procedures.

The LPA met with Administrator Maricar Lee and discussed the reason for the visit. The LPA, along with

Administrator, toured the physical plant areas inside and outside at 11:07 a.m. to ensure there are no health

and safety hazards. Entrance interview conducted.

BEDROOMS : The LPA observed the resident bedrooms, which were furnished appropriately with clean

linens, appropriate furnishings and sufficient lighting. There are 5 total bedrooms – one (1) bedroom is

shared for resident use and four (4) are private.

RESTROOMS : 3 restrooms were observed to be clean and sanitary and in operating condition. Showers were

also observed to have grab bars and non-skid surfaces. The LPA observed sufficient amounts of soap and

paper products in each restroom, as well as hand washing posters.

COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good

condition. At the time of the visit, common seating area and dining room furniture was observed to be in good

condition. Chairs were observed to be at least 6 (six) feet apart for social distancing. The LPA observed the

required postings in the common hallway. Fire extinguishers were observed to be serviced within the last

year. Smoke detectors and carbon monoxide was observed to be in operable condition at the time of visit.

The backyard has a covered outdoor area equipped with furniture for resident use. There were no bodies of

water noted. The garage was observed locked and contained locked storage cabinet for laundry supplies and emergency food supply.